20 certified coding auditor jobs found

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

Coding Auditor - Professional Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Physician coding Hours: Full-Time, 40 hours a week required Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire Pay: Based on experience, starting at $23.87/hour Location: Remote or onsite: At this time, you must reside in one of the following locations: Alabama Arkansas Arizona Florida Georgia Illinois Indiana Iowa Kansas Kentucky Louisiana Mississippi Missouri North Carolina New Mexico Ohio Oklahoma South Carolina Tennessee Texas Responsibilities Assists coders...

Job Description Coder/Auditor - Physicians Central Billing (7470-0959) – 170084 Functions as Auditor and Coder for the CPG Central Billing Office and in collaboration with the CPG Compliance Officer. Perform daily review of coded inpatient medical records to validate principal diagnosis, secondary diagnoses, and principal procedure sequencing and code assignment. Provide feedback relating to corrections to coders and practice leaders. The Medical Coder Auditor will collaborate with practice leaders, CBO manager, Compliance Officer, providers, and other coders regarding discrepancies. This position may be filled full-time or part-time and will work 1st shift hours. Qualifications The Medical Coder Auditor should have a minimum of five years coding experience. A bachelor's degree from a four‑year college or university; or completion of a Registered Health Information Technician program; or completion of an AHIMA or other independent study coding program; or a combination of...

A healthcare provider in Jeffersonville, Indiana is seeking a Medical Coder/Auditor. The role involves reviewing coded inpatient medical records for accuracy, providing feedback to coders, and collaborating with various team members. The candidate should have a minimum of five years of coding experience and relevant certifications. This position can be filled on a full-time or part-time basis and offers the opportunity to work 1st shift hours. #J-18808-Ljbffr

Registered Nurse - Diagnosis Related Group Coding Auditor Principal – Carelon Payment Integrity Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical records and attending physician’s statements provided by acute care hospitals on paid DRG,...

Certified Medical Coder / Medical Record Audit Specialist Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. This role is responsible for reviewing medical records and claims-related documentation for coding accuracy, identifying billing and compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and writing skills. This is a remote position with occasional travel required within Indiana. While this position is remote, Indiana residents encouraged to apply. Key Responsibilities Review medical records and related documentation to assess coding accuracy and compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations. Conduct coding and...

Risk Adjustment Coder IHCI Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered and we couldn't do it without you. The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network (CHNw) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health outcomes. Reporting to the Clinical Documentation Integrity Manager,...

Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs. This role is responsible for reviewing medical records and claims-related documentation for coding accuracy, identifying billing and compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings strong coding knowledge, regulatory awareness, and analytical and writing skills. This is a remote position with occasional travel required within Indiana. While this position is remote, Indiana residents encouraged to apply. Key Responsibilities Review medical records and related documentation to assess coding accuracy and compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations. Conduct coding and documentation reviews independently and provide preliminary...

Deaconess - 1419 West Lloyd Expressway - Responsibilities: Code hospital and professional charges accurately by abstracting information from the electronic medical record; Provide educational feedback to professional providers from audited batches to ensure coding compliance; Keep Supervisor and Manager informed of daily progress and issues related to coding; Assist follow-up staff with information for outstanding claims or recording of charges; Travel to office locations for training as needed

Remote / Work from Home / Virtual / Hybrid Location Shadeland Station, Shadeland Ave, Indianapolis, IN 46256, United States Responsibilities Timely, accurate, and complete review of patient charts following patient encounters, utilizing a variety of technical platforms to complete workflows. Validating diagnosis codes representing patient conditions along with necessary MEAT documentation. Ensuring coding is consistent with guidelines from regulatory entities. Conducting audits to meet compliance with ACA standards. Creating post‑visit queries with follow up. Collaborating with CDI team members, particularly with clinical findings. Contributing to the provider education body of work, participating in pre‑encounter reviews as needed. Qualifications Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a positive attitude toward problem‑solving. Critical thinkers. High School diploma or GED is...

RADcube - A NLogix Company is searching for a detailed-oriented Certified Medical Coder/Medical Record Audit Specialist. This remote position involves reviewing medical records for coding accuracy and ensuring compliance with Indiana Medicaid programs. The ideal candidate will have a CCS, CPC, or CPMA certification and at least one year of related experience. Strong analytical skills and familiarity with Indiana Medicaid policies are preferred. Occasional travel within Indiana will be necessary. #J-18808-Ljbffr

Overview Job Title: Medical Coder (Junior Level) | Location: Downtown Indianapolis, IN (Local candidates strongly preferred; occasional onsite presence required) We are looking for a detail-oriented Junior Medical Coder to support a healthcare client engagement. You will be responsible for reviewing clinical documentation, assigning accurate medical codes, and ensuring compliance with payer and regulatory guidelines to support clean and timely billing operations. Responsibilities Review and analyze clinical documentation to assign appropriate ICD-10-CM, CPT, and HCPCS codes Ensure all coding is compliant with CMS, payer-specific, and internal guidelines Identify and resolve coding discrepancies and documentation gaps in collaboration with clinical staff Support the revenue cycle team in maintaining accurate and timely billing submissions Stay current with coding updates, regulatory changes, and payer policy revisions Requirements Required Qualifications CPC, CCS, or...

RADcube is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy and billing compliance for Indiana Medicaid programs. This remote position involves reviewing medical records, conducting coding audits, and ensuring compliance with relevant regulations. The ideal candidate will have at least one year of medical coding experience and a certification such as CCS, CPC, or CPMA. Proficiency in Microsoft Office applications and strong analytical skills are essential for the role. #J-18808-Ljbffr

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. Partner with Community Health Network and Deaconess Health System - IHCI The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network (CHNw) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health...

Briljent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy and billing compliance for Indiana Medicaid. This remote role requires reviewing records, identifying compliance issues, and preparing audit documentation. The ideal candidate has strong coding knowledge, certification (CCS, CPC, CPMA), and at least 1 year of relevant experience, particularly with Indiana Medicaid. Proficiency in Excel and collaboration skills are essential. Occasional travel within Indiana may be required. #J-18808-Ljbffr

Join our Team We are looking for a compassionate, caring and dedicated Coding Specialist II - HB Facility Coder to join our team and help us continue our tradition of excellence. Benefits We pride ourselves in retaining our top talent by offering work environments that support professional development and personal success. In addition to our robust healthcare and retirement plans, we offer: - Flexible work schedules - Full time/part time/supplemental - Day/Eve/Night - Onsite children's care centers (Infant through Pre-K) - Tuition reimbursement - Student Loan Repayment Program - Payactiv-earned wage benefit-work today, get paid tomorrow - Free access to fitness centers - Career advancement opportunities Job Overview This position is responsible for accurate and timely coding of professional and/or hospital charges/claims by abstracting information from the electronic medical record for compliant claim submission. This position is responsible for providing...

The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate medical codes for diagnoses, procedures, and services performed by healthcare providers. This role ensures accurate coding for billing, insurance claims, and regulatory compliance. The Medical Coder plays a crucial role in maintaining accurate patient records and supporting the financial health of the organization. Primary Responsibilities: Review and analyze medical records to assign accurate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services. Ensure coding compliance with federal regulations, payer policies, and industry standards. Abstract key information from medical records to complete coding assignments. Collaborate with providers and clinical staff to clarify documentation discrepancies or obtain missing details to ensure accurate coding. Submit coded claims to the billing department or electronic medical records (EMR) system for...

JOB RESPONSIBILITIES: Abstracts pertinent information from patient records for provider services. Reviews the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT), or Healthcare Common Procedure Coding System (HCPCS) codes, including modifiers, assigned by providers. Works with providers to correct any codes or charges when errors are identified. Reviews medical records for diagnoses that meet medical necessity according to the CMS Local Coverage Determination (LCD) and/or National Coverage Determination (NDC) guidelines. Reviews and interprets provider notes using CPT and ICD coding books and/or software. Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Works with providers to correct any identified errors. Conducts chart audits for provider documentation and recognizes when it is necessary to obtain further clarification from providers when documentation is...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Radiology Medical Coder Radiology Medical Coder Job Description Client Profile - An Indiana based Independent Physician-Owned radiology practices founded in 1967. Job Summary - The Radiology Coder is responsible for coding and charge submission activities, including abstracting CPT Professional Fee Coding and inpatient/outpatient coding and billing. This involves reviewing medical records and assigning appropriate ICD, CPT, and HCPCS codes. Job Duties Review and analyze medical records ensuring the correct assignment of ICD-10, CPT and HCPCS codes. Accurately code diagnostics imaging, interventional radiology procedures and other radiological services Ensure that documentation supports the assigned codes and matches physician orders and radiology reports Abstract relevant data such as procedural dates, providers, and patient demographics for billing and reporting. Collaborate with radiologists and other medical professionals to clarify diagnoses and procedures when...